Provider Demographics
NPI:1225013592
Name:STRINGER, KENNETH ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:ROBERT
Last Name:STRINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 CAMELBACK RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-1528
Mailing Address - Country:US
Mailing Address - Phone:804-276-3762
Mailing Address - Fax:804-745-9224
Practice Address - Street 1:2500 POCOSHOCK PL
Practice Address - Street 2:SUITE 103
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-6345
Practice Address - Country:US
Practice Address - Phone:804-745-2200
Practice Address - Fax:804-745-9224
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101022768207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6068324Medicaid
VAP00376899OtherRAILROAD MEDICARE
VAP00376899OtherRAILROAD MEDICARE
VA6068324Medicaid